McGill Case 217: Difference between revisions

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(Created page with "{{McGillcase| |previouspage= McGill Case 216 |previousname= McGill Case 216 |nextpage= McGill Case 218 |nextname= McGill Case 218 }} [[File:E218.jpg|thumb|600px|left|The rhyt...")
 
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[[File:E218.jpg|thumb|600px|left|The rhythm is sinus with a first degree heart block (pr > 120ms), there is a wide QRS (>120ms.) with a RBBB morphology and a left axis deviation consistent with a left fasicular block. The combination has been called a "trifasicular block" suggesting that the prolonged pr interval is due to slowing in the left posterior fascicle, but in fact this can be due to slowed conduction in the A/V node.]]
[[File:E217.jpg|thumb|600px|left|The rhythm is sinus with a first degree heart block (pr > 120ms), there is a wide QRS (>120ms.) with a RBBB morphology and a left axis deviation consistent with a left fasicular block. The combination has been called a "trifasicular block" suggesting that the prolonged pr interval is due to slowing in the left posterior fascicle, but in fact this can be due to slowed conduction in the A/V node.]]

Latest revision as of 05:21, 21 February 2012

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.


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The rhythm is sinus with a first degree heart block (pr > 120ms), there is a wide QRS (>120ms.) with a RBBB morphology and a left axis deviation consistent with a left fasicular block. The combination has been called a "trifasicular block" suggesting that the prolonged pr interval is due to slowing in the left posterior fascicle, but in fact this can be due to slowed conduction in the A/V node.